Individual
KYLE JOSEPH ORDONEZ CANLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOT
Contact information
Practice address
407 E MAIN ST, AUBURN, WA 98002-5504
(253) 545-0044
Mailing address
6050 TACOMA MALL BLVD STE 300, TACOMA, WA 98409-6828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1398635
TX
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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